National Provider Identifier [NPI]: |
1538592381 |
Last Name Of The Provider |
ATIJERA |
First Name Of The Provider |
KERA |
Middle Initial Of The Provider |
R |
Credentials Of The Provider |
PA-C |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
2036 GLENVIEW DR |
Street Address 2 Of The Provider |
|
City Of The Provider |
LAS VEGAS |
Zip Code Of The Provider |
891346114 |
State Code Of The Provider |
NV |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Physician Assistant |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
12 |
Number Of Services |
5715 |
Number Of Medicare Beneficiaries |
852 |
Total Submitted Charge Amount |
1141677 |
Total Medicare Allowed Amount |
340945.9 |
Total Medicare Payment Amount |
264060.16 |
Total Medicare Standardized Payment Amount |
304516.1 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
0 |
Number Of Drug Services |
0 |
Number Of Medicare Beneficiaries With Drug Services |
0 |
Total Drug Submitted ChargeAmount |
0 |
Total Drug Medicare AllowedAmount |
0 |
Total Drug Medicare PaymentAmount |
0 |
Total Drug Medicare Standardized Payment Amount |
0 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
12 |
Number Of Medical Services |
5715 |
Number Of Medicare Beneficiaries With Medical Services |
852 |
Total Medical Submitted Charge Amount |
1141677 |
Total Medical Medicare Allowed Amount |
340945.9 |
Total Medical Medicare Payment Amount |
264060.16 |
Total Medical Medicare Standardized Payment Amount |
304516.1 |
Average Age Of Beneficiaries |
72 |
Number Of Beneficiaries Age Less65 |
201 |
Number Of Beneficiaries Age 65 to 74 |
270 |
Number Of Beneficiaries Age 75 to 84 |
248 |
Number Of Beneficiaries Age Greater 84 |
133 |
Number Of Female Beneficiaries |
439 |
Number Of Male Beneficiaries |
413 |
Number Of Non Hispanic White Beneficiaries |
581 |
Number Of Black or African American Beneficiaries |
145 |
Number Of AsianPacific Islander Beneficiaries |
38 |
Number Of Hispanic Beneficiaries |
77 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
465 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
387 |
Percent Of With Atrial Fibrillation |
28 |
Percent Of With Alzheimers Disease or Dementia |
45 |
Percent Of With Asthma |
13 |
Percent Of With Cancer |
12 |
Percent Of With Heart Failure |
59 |
Percent Of With Chronic Kidney Disease |
73 |
Percent Of With Chronic Obstructive Pulmonary Disease |
51 |
Percent Of With Depression |
55 |
Percent Of With Diabetes |
61 |
Percent Of With Hyperlipidemia |
63 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
65 |
Percent Of With Osteoporosis |
10 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
52 |
Percent Of With Schizophrenia Other PsychoticDisorders |
22 |
Percent Of With Stroke |
29 |
Average HCC Risk Score Of Beneficiaries |
3.5866 |